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So, there we go. I think we're live. Um Good evening everyone and welcome to our core training interview, prep webinar. Um I'm sure you all sort of got your MSM SRA results and interviews last week. So we thought we'd get this in early. Um So, you know, sort of where to guide your preparation. Um And go and luckily we've got lots of support from a GBI in the morning he academy um and bates in the endocrine society as well. Um So I have some great speakers or, or cohost, I should say we will all be sort of chipping in today joining me. Um So I have Mr Prett Croy, um General General colorectal surgeon up in Leeds at the moment. Yes. Um I've got Mr Ben Griffiths director and general surgeon from Manchester. Um Mr Alison worn uh endocrine surgeon um who's joining us and Ash Gory, who is a co trainee in Wales with me and I'm Kelly and I am also a s registrar in Wales. So if you bear with me two seconds, I will share my slides, um feel free to put any questions in the chat as we go. Um this will be very flexible. Um And we'll just talk through things um and answer any questions as we go um sharing our experiences. Um And then we'll have a bit more of an informal chat at the end. So I'll just start with going through the format a little bit. Hopefully you've all had a good look online already um of what is there, but you will obviously have a clinical station, a management station and a portfolio station for your interview uh which will be online um via Zoom. I think it is. Um we'll go into a bit more detail shortly um about what, how to prepare, where to prepare. Um There are a couple of really good books uh that are very helpful, the call surgery interview book. It's great for some of the clinical stations particularly and the this medical interview book, how I see medical gives you some nice uh formulas um to talk through for the management leadership management communication stations. So nearly everyone you'll know probably has someone lying around. You can get loads of copies of those in the library. So you can pick those up, have a look at some videos, you know, watch some common operations. Have you seen a lap Coly? Have you seen a lap appendix? Um maybe a tonsillectomy or a dynamic hip screw or something like that. Um A TLS is a big part of the interviews. Nearly every clinical station will have at least one ADL S trauma question in that. So make sure you're familiar with some of the protocols in there, some of the pathways um just read through some of the scenarios either on the book or the app or videos online and the crisp course as well is where a lot of the other. Um so surgical scenarios come from. So have a look at those and teach me surgery is uh one of one of the Moynihan Academy's collaborators. Um They also have a great website, nice summaries, key operations and how to approach common surgical problems that you might see on the ward, you know, difficult consent, um POSTOP hypoxia septic patients, poor urine output, stuff like that are really common. Um And the key thing that we have is practice, practice, practice. Um and just test yourself when you're on a on call, when you've got a bit of downtime, just ask someone just say, can you, can you give me a clinical scenario or can you ask me an ethical question or, and you know, talk through any difficult patients that you're seeing as well. Um So you're getting in there, um we'll come on to some preparation more in a minute, but I don't know if any of our, our speakers have got any top tips that they want to add in at the moment. So I would second what Kelly says about getting your bosses at work to help. So if you're in a training job and you've got trainers and this is now the time to nab them and say please, can we do some practice scenarios? Hopefully, in your hospitals, there are consultants in your department who are involved with the course election process. Um And so don't hesitate to just reach out and ask them. That's what I would say at this stage. Yeah, I would echo that and uh I would say that that I think the knowledge is quite often there, but it's how you're getting that knowledge over to the, the interviewers and, and that comes from practicing and, and trying to verbalize and structure your thoughts so that they come over in an ordered fashion coherently and you're able to impart that knowledge to the people who are at the other side of the table as it were. So um yeah, that would be the, the key take home from that slide for me, Alison. Have you any views? No, I support, I'm not quite sure what's going to come next. So uh but I'd support what um is being said. Um And yeah, I think most consultants are very happy to practice uh some of the simple scenarios. There's so many scenarios that are so common for the, the low BP, tachycardia and then try and work out exactly, you know, sepsis, bleeding, poly embolus, the cardiac problems. Those are the main things, aren't they that you're thinking about? That's great and sorry, I just stopped sharing my screen. Um just to see if I can get a better view because I think it was still on presenter mode. Um But let me try. There we go. Oh, and I can see all of you as well now even better. Um Yes. So for the clinical station, uh as so as we've already sort of touched upon, um as you might see, you'll have two clinical scenarios, they will be five minutes each. So you'll be given a sort of brief. Uh We will go through some practice questions shortly. Um But they are very much focused on a TLS and crisp principles and protocols and real common conditions that you would see on an on call. Um And, you know, remember they are aimed at the MRC S core trainee level. So it's great if you can, you know, quote some of the evidence for the research, but they're not expecting you to go into the nuances to know some of the finer guidelines about managing things. They want to make sure that you're a safe core trainee um that you're going to escalate appropriately. Um And that you're going to liaise um with the right team members. And so the assessment is on your clinical skills and knowledge, uh your judgment under pressure, how you might prioritize different things um and how you communicate. And as I said, you know, looking at those common resources, um OK, teach me surgery, the website So you've got those protocols, formulas in place that you can say this is what I'm worried about, this is how I'm going to manage it. Um And also some of the common, there's lots of cool surgical webinars and that are MRC S focused as well. Um project, right? I don't know, you said um you've got some of the positive negative indicators that they might look for in these kind of stations. Yeah. So for all the questions, clinical management and leadership, the interviewers have given both positive indicators and negative indicators, which is a way that we use to mark you. So just for the clinical scenarios, for example, I'm not going to specifically talk about question. But for example, if there's a a multitrauma type question, then they want you to mention the ATLS protocol in your answer. They want you to know about the guidelines of management of head injury. And you've got to quote the fact that they are nice guidelines. You've got to be able to talk about imaging and the modalities such as fast such as trauma CT. So those are the things that will score you marks um when you actually mention them. So I'm sure you know all of you on the call will know ATL S and will know that there are nice guidelines. But you've got to mention it. If you don't mention it, you don't get the mark for it. So negative guidelines or negative indicators, I should say they talk about failure to communicate amongst the team, failure to recognize uh progression of patient shock. So for example, in, in certain scenarios, they will tell you that the, the BP is dropping the, the heart, the tachycardia is getting worse. And if you don't obviously understand that, that you don't communicate it, then you'll lose mark. So I don't think any of it's rocket science, but of course, under pressure, it's really easy for you to miss saying things out loud. Um, and if you don't say it, it can't be counted. So that's the first thing I'd say. That's great. And Alison Michael, and you got any key points on that. Uh No, nothing to add at the moment. Oh, I just say when, when you get the clinical scenario, it can be useful for the candidate just to summarize the scenario just to show that they've understood the main issues. And I think that clears your mind for what you then say next and helps the, the interviewer understand that you've picked up the salient feature, whether it be sepsis or shock or, or whatever. Yeah, I think I would agree. And it's, you know, five minutes, although it doesn't seem that long, it can actually